Request for Quotation

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If you have previously registered with us, enter your user name and password to proceed.

User Name:

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If you enter a User Name and Password, we will use that to record your contact information so that you will not have to reenter it when you return to this page.

 Or If you have not previously registered with us, please fill in the information below.

If you want us to remember the contact information below, please enter a user name and password to the left.

Name:
Company:
Address:
City:
State / Province:
Postal / Zip Code:
Country:
Phone:
Fax:
E-Mail:
 

By checking one of the boxes below, we will do as you request. Please note, the User Name and Password must match exactly to use these functions.

Update my contact information with the information at the right

Remove my contact information from your file.

How do you want us to contact you?

Regular Mail Phone Fax E-Mail

What product or products does your company design and/or manufacture?

Computer and Office Machines Construction and Related Automotive, Industrial Controls
Telecommunications Aerospace & Rail Recreation Vehicles, Motorcycles
Medical / Health / Instruments Lighting / Signs Farm & Garden Equipment
HVAC / Climate Control Other

How did you come across or hear of our web site?

Word of mouth

Search Engine

Which One?

Familiar with products

Print Advertising

What publication?

Surfing the Web

Link from another site

What site?

Which product line would you like a quote on?

Fasteners

(Note: Click on the product line to pull up a picture of the associated product.)

Quarter Turn

Latches

Miscellaneous
ST-1200 Line
Guide Pin
PN-3500 Line
SU-2300 Line
DA-4600 Line
TL-7800 Line Toggle
DP-6100 Line Pawl
SL-8400 Line Slide
AR-4610 Push to Lock
UN-5700 Line Fast Thread

Special or Custom Application

May we contact you by phone if we have any questions? Yes No

Have you ever received a quote from us before? Yes No

If yes, what is your account number?

What is your Request/RFQ number?

What product(s) would you like us to quote on?

 

Quantity

Our Part Number

Description

Your Part Number

1

2

3

4

5

6

7

Note: If you require additional lines, either submit additional forms, call DFCI Solutions, Inc. (407) 926-0231 or email your request along with your complete name, address, phone number, and fax number to quotes@dfcis.com
Date quote required: Please contact me as soon as possible.

Any message or special instructions?